UNDRE CORDELL ALLEN (NPI# 1013523182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013523182 |
| Entity Type | Individual |
| Full Name | UNDRE CORDELL ALLEN |
| Credential | MA, RBT |
| Practice Address |
3105 Clairmont Rd Ne Brookhaven GA 30329-1015 |
| Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 4702411353 |
| Practice Fax Number | 3175208200 |
| Mailing Telephone | 8553240885 |
| Mailing Fax Number | 3175208200 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-20-135486 | GA | Behavioral Health & Social Service Providers |
| Street Address |
3105 CLAIRMONT RD NE |
| City | BROOKHAVEN |
| State | GA |
| Zip Code | 30329-1015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083175616 | Hayley Christine- Louise Gordon | Behavioral Analyst | 3105 Clairmont Rd Ne, Brookhaven, GA 30329-1015 | 2019-03-27 |
| 1245831874 | Hunter Fillmore Graham | Behavior Technician | 3105 Clairmont Rd Ne, Brookhaven, GA 30329-1015 | 2020-11-02 |
| 1316554546 | Kierra Brittany Mcgregor | Behavior Technician | 3105 Clairmont Rd Ne, Brookhaven, GA 30329-1015 | 2020-10-01 |
| 1942817176 | Mackenzie Lynn Quick | Behavior Technician | 3105 Clairmont Rd Ne, Brookhaven, GA 30329-1015 | 2020-10-01 |
| 1487260709 | Lapachus Tacorra-samone Brooks | Behavior Technician | 3105 Clairmont Rd Ne, Brookhaven, GA 30329-1015 | 2020-09-22 |
| 1679189997 | Raeanna Elaine Cotto | Behavior Technician | 3105 Clairmont Rd Ne, Brookhaven, GA 30329-1015 | 2020-09-22 |
| 1740896091 | Angie Civilus | Behavior Technician | 3105 Clairmont Rd Ne, Brookhaven, GA 30329-1015 | 2020-09-22 |
| 1093321341 | Anchal Praveen Kamat | Behavior Technician | 3105 Clairmont Rd Ne, Brookhaven, GA 30329-1015 | 2020-09-22 |
| 1902412257 | Joana Anima Obeng | Behavior Technician | 3105 Clairmont Rd Ne, Brookhaven, GA 30329-1015 | 2020-09-22 |
| 1548876865 | Julia Keanna Wigfall | Behavior Technician | 3105 Clairmont Rd Ne, Brookhaven, GA 30329-1015 | 2020-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831874 | Hunter Fillmore Graham | Behavior Technician | 3105 Clairmont Rd Ne, Brookhaven, GA 30329-1015 | 2020-11-02 |
| 1316554546 | Kierra Brittany Mcgregor | Behavior Technician | 3105 Clairmont Rd Ne, Brookhaven, GA 30329-1015 | 2020-10-01 |
| 1942817176 | Mackenzie Lynn Quick | Behavior Technician | 3105 Clairmont Rd Ne, Brookhaven, GA 30329-1015 | 2020-10-01 |
| 1487260709 | Lapachus Tacorra-samone Brooks | Behavior Technician | 3105 Clairmont Rd Ne, Brookhaven, GA 30329-1015 | 2020-09-22 |
| 1679189997 | Raeanna Elaine Cotto | Behavior Technician | 3105 Clairmont Rd Ne, Brookhaven, GA 30329-1015 | 2020-09-22 |
| 1740896091 | Angie Civilus | Behavior Technician | 3105 Clairmont Rd Ne, Brookhaven, GA 30329-1015 | 2020-09-22 |
| 1093321341 | Anchal Praveen Kamat | Behavior Technician | 3105 Clairmont Rd Ne, Brookhaven, GA 30329-1015 | 2020-09-22 |
| 1902412257 | Joana Anima Obeng | Behavior Technician | 3105 Clairmont Rd Ne, Brookhaven, GA 30329-1015 | 2020-09-22 |
| 1548876865 | Julia Keanna Wigfall | Behavior Technician | 3105 Clairmont Rd Ne, Brookhaven, GA 30329-1015 | 2020-09-22 |
| 1649886979 | Sarah Elizabeth Peterson | Behavior Technician | 3105 Clairmont Rd Ne, Brookhaven, GA 30329-1015 | 2020-09-22 |
| Find all providers in BROOKHAVEN | ||||
| City | BROOKHAVEN |
| Zip Code | 30329 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.